Analysis of initial verification of occupational disease diagnosis in Guangzhou City, 2015-2024
10.20001/j.issn.2095-2619.20251208
- VernacularTitle:广州市2015—2024年首次职业病诊断鉴定分析
- Author:
Xilong YANG
1
;
Meiqian CHEN
;
Yingsi DU
;
Linghong WU
Author Information
1. Guangzhou Medical Association/Guangzhou Health Technology Appraisal and Talent Evaluation Center, Guangzhou, Guangdong 510180, China
- Publication Type:Journal Article
- Keywords:
Occupational disease;
Diagnosis;
Appraisal;
Initial Appraisal;
Distribution characteristics;
Trend of change
- From:
China Occupational Medicine
2025;52(6):648-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the case distribution, trends and dispute causes in initial verification of occupational disease diagnosis (VODD) in Guangzhou City from 2015 to 2024. Methods A total of 1 006 cases applying for initial VODD in Guangzhou City from 2015 to 2024 were selected as the study subjects using the convenience sampling method. Data on their basic information, disease category distribution, acceptance status, and dispute-related characteristics were collected and analyzed. Results Among the 1 006 VODD application cases, 884 completed the verification process, accounting for 87.9%. Cases withdrawn by applicants, suspended appraisals, and non-accepted applications accounted for 8.7%, 2.3%, and 1.1%, respectively. Among the 884 cases that completed verification, the most prevalent occupational diseases were occupational noise-induced hearing loss, occupational tumors (benzene-induced leukemia), occupational pneumoconiosis, and occupational chronic benzene poisoning, accounting for 77.0%. Cases appraised as occupational diseases accounted for 41.5%, and the proportion showed a decreasing trend over the years (P<0.01). The inconsistency rate between VODD conclusions and occupational disease diagnostic conclusions was 4.4%, mainly attributable to insufficient cooperation during clinical examinations and incomplete submission of required materials. Conclusion The initial VODD in Guangzhou City from 2015 to 2024 demonstrated relatively concentrated disease categories and controllable dispute levels. Clinical examination compliance and standardization of material submission were key factors affecting consistency of appraisal conclusions. It is proposed that effective measures be adopted to rectify existing deficiencies, with the aim of further enhancing the standardization and refinement of VODD practice.
